Provider Type Icon

ST. MARY'S MEDICAL GROUP INC. NPI 1265850614


NPI Information

NPI: 1265850614
Provider Name: ST. MARY'S MEDICAL GROUP, INC.

Other Name: JOHNSON & MURTHY FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D1055103

Address:
1500 OGLETHORPE AVE STE 200A
ATHENS, GA
ZIP 30606
Phone: (706) 548-5833
Get Directions

ST. MARY'S MEDICAL GROUP, INC. is a family medicine in Athens, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. MARY'S MEDICAL GROUP, INC. NPI is 1265850614. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Johnson & Murthy Family Practice.

The provider's business location address is:

1500 OGLETHORPE AVE STE 200A
ATHENS, GA
ZIP 30606-165
Phone: (706) 548-5833
Fax: (706) 548-5608

The provider's authorized official is Brittainy Horne .
The authorized official title is President and has the following contact phone number (706) 389-3940.

The CLIA number assigned to this NPI record is 11D1055103 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2014 and was last updated on 11/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.